Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAWLOWSKI, EDWARD

NPI: 1598960395 · JOHNSTOWN, PA 15904 · Specialist · NPI assigned 06/20/2007

$1.77M
Total Medicaid Paid
51,399
Total Claims
49,861
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 366 $19K
2019 83 $5K
2020 1,847 $44K
2021 8,663 $307K
2022 10,238 $360K
2023 15,708 $525K
2024 14,494 $511K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,536 9,042 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,237 4,977 $354K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,386 2,380 $290K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,793 1,791 $200K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,827 1,816 $196K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 965 963 $109K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,039 1,027 $47K
99188 1,355 1,354 $32K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 853 755 $22K
92551 3,804 3,789 $21K
99173 3,791 3,778 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,951 1,905 $19K
96161 1,289 1,284 $6K
90686 1,030 913 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,482 1,461 $4K
90670 684 582 $4K
90698 725 628 $4K
90680 871 810 $3K
90677 377 377 $3K
87807 143 141 $2K
90633 573 532 $2K
90744 259 214 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 41 41 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 45 45 $2K
90697 511 511 $1K
90710 250 249 $1K
90707 203 174 $884.00
96127 1,129 1,126 $754.20
90716 187 159 $676.00
85018 232 232 $244.02
90651 60 60 $169.00
81002 14 13 $62.00
94760 24 24 $61.92
96160 1,353 1,347 $39.78
G9920 Screening performed and negative 526 524 $0.00
83655 598 597 $0.00
90715 13 13 $0.00
90671 336 334 $0.00
80061 Lipid panel 127 127 $0.00
90619 79 79 $0.00
3008F 2,729 2,718 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 784 781 $0.00
90696 13 13 $0.00
90620 20 20 $0.00
90656 155 155 $0.00